Elm Road Immediate Care
LBN: Forum Health Services
Elm Road Immediate Care is an health care organization with primary practice located at 2662 Elm Rd Ne , Cortland OH 44410-9393. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty.
Forum Health Services can be contacted via phone (330) 841-3004, or through Niemi, Timothy J via phone (330) 841-3004.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | Ohio |
Profile Details
| NPI number | 1114968849 |
|---|---|
| LBN Legal business name | Forum Health Services |
| DBA Doing business as | Elm Road Immediate Care |
| Authorized official | Niemi, Timothy J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114968849 | NPPES |
| Ohio | Other | 94930 | QUALCHOICE NUMBER |
| Ohio | Other | 000000165909 | QUALCHOICE NUMBER |
| Ohio | Other | 6600170 | QUALCHOICE NUMBER |
| Ohio | Other | 7997187 | QUALCHOICE NUMBER |
| Ohio | Other | 1525808 | QUALCHOICE NUMBER |
| Ohio | MEDICAID | 2179913 | QUALCHOICE NUMBER |
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